ESBD_507806_1776373517976_05. Texas Family Code Schedule.docx

DOCX document 38 KB Posted

Attached to
Hovermap Bundle Kit
Solicitation number
601440000051929
Issued by
Texas

About this file

This is a Texas Family Code Schedule document associated with Solicitation No. 601440000051929, issued by the State of Texas. The schedule serves as a certification form that respondents must complete, sign, and return with their bids or proposals to acknowledge compliance with child support obligation requirements under Texas Family Code Section 231.006. The document requires respondents to provide the names and Social Security numbers of all individuals or business entities holding at least twenty-five percent ownership interest in the submitting organization. Respondents who do not meet the ownership criteria may check a box indicating that the schedule is not applicable. Failure to sign and return this completed schedule may result in the response being deemed non-responsive and ineligible for consideration.

The schedule emphasizes that respondents certify their eligibility to receive state payment and acknowledge that the contract may be terminated and payment withheld if the certification is inaccurate. Social Security numbers are required under Texas Family Code Sections 231.006(c) and 231.302(c)(2) and will be used to identify persons owing child support obligations. Per the Federal Privacy Act, disclosed Social Security numbers will be kept confidential to the fullest extent permitted under Texas Family Code Section 231.302(e). This mandatory compliance document is a prerequisite for all responses submitted under this solicitation.

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TEXAS FAMILY CODE SCHEDULE

SOLICITATION NO. 601440000051929

Ineligibility to Receive State Grants or Loans or Receive Payment on State Contracts Respondent shall fill out the appropriate information, sign and return the schedule.

Under Family Code §231.006, relating to child support obligations, Respondent and any other individual or business entity named in this solicitation are eligible to receive the specified payment and acknowledge that this contract may be terminated and payment withheld if this certification is inaccurate. Any response submitted under this solicitation shall contain the names and social security numbers of person or entity holding at least a twenty-five percent ownership interest in the business entity submitting the response. Respondents meeting the ownership must complete the following:

Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial Security Number
Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial Security Number
Click or tap here to enter text.XXX-XX-Click or tap here to enter text.
NameSocial Security Number

If the respondent does not meet the ownership criteria under Texas Family code - Section 231.006, check the box below, sign and return the schedule.

☐ This Schedule is not applicable FEDERAL PRIVACY ACT NOTICE: This notice is given pursuant to the Federal Privacy Act. Disclosure of your Social Security (SSN) is required under Section 231.006(c) and Section 231.302(c)(2) of the Texas Family Code. The SSN will be used to identify persons that may owe child support. The SSN will be kept confidential to the fullest extent allowed under Section 231.302(e), Texas Family Code.

Signature Click or tap here to enter text.

Title THIS PAGE MUST BE RETURNED WITH THE RESPONSE. FAILURE TO SIGN AND RETURN THIS PAGE MAY RESULT IN THE RESPONSE BEING CONSIDERED NON-RESPONSIVE.

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